GLWACH - NPI 1619403748 - Military Hospital in Fort Leonard Wood, MO

Q: What is Glwach's NPI number?

The NPI number for Glwach is 1619403748. It was assigned to this organization in the NPPES registry on May 10, 2017.

Q: What is Glwach's specialty?

The primary specialty registered for this NPI is Military Hospital with taxonomy code 286500000X.

Q: When was this NPI record last updated?

The NPPES record for Glwach was last updated on May 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Glwach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLWACH (NPI 1619403748) is a healthcare organization registered as a military hospital in Fort Leonard Wood, Missouri and active in the NPI registry since May 2017. The organization lists Ude U Ude, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1619403748

Entity TypeOrganization

Primary Taxonomy286500000X

Legal Business NameGLWACH

Location Address4430 MISSOURI AVE, GLWACHFort Leonard Wood, MO 65473-9098

Mailing Address118a EdnaWaynesville, MO 65583-7875 · (314) 600-5329

Phone(573) 596-0515

Organization SubpartNo

Authorized OfficialUde U UdePharmacist · 31456005329

Enumeration DateMay 10, 2017

✔ NPI 1619403748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary HospitalHospitals

Taxonomy Code286500000X

License✔ Licensed in MO · 2013031924

Definition

A health care facility operated by the Department of Defense.

4430 MISSOURI AVE, Fort Leonard Wood, MO 65473

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JON-MARC THIBODEAU PA-C

Physician Assistant